Kolkata : The second batches of 29 doctors in Kolkata today were conferred certifications for the ‘Certificate Course in Gestational Diabetes Mellitus (CCGDM), an executive on-job training program that develops core competencies in doctors in the area of Gestational Diabetes management. Present on the occasion were representatives from Public Health Foundation of India, New Delhi along with Regional faculties Dr. Suranjan Chakrabarti & Dr. Debasis Basu for the Course in Gestational Diabetes Mellitus.
Globally around 382 million people are suffering from diabetes, which is expected to rise to a total of 592 million by 2030. India alone has 65.1 million people with diabetes and 77.2 million people with pre-diabetes as of year 2011. India comes second to highest number of people with diabetes in the world and is expected to rise to 109 million by the year 2035.
Gestational diabetes (or gestational diabetes mellitus, GDM) is a condition in which women without previously diagnosed diabetes exhibit high blood glucose levels during pregnancy (especially during their third trimester). Gestational Diabetes Mellitus (GDM) affects up to 15% of pregnant women worldwide and in India estimated 4 million women have GDM. Babies born to mothers with untreated gestational diabetes are typically at increased risk of problems such as being large for gestational age (which may lead to delivery complications), low blood sugar, and jaundice. If untreated, it can also cause seizures or stillbirth.
In a recent study of Gestational Diabetes: How risky are the mothers of rural Bengal published in the Global Journal of Medicine and Public Health showed that 11.69% women in West Bengal, especially rural had Gestational Diabetes. Further the incidence of gestational diabetes mellitus along with maternal and foetal outcome during delivery and postnatal period showed alarming results of incidence of GDM amongst the study population, where the risk to develop Gestational Diabetes was 32.4% in the age group of < 20 years and increased to 41.4% in age group above 30 years. Reasons of marked obesity, personal history of GDM & Glycosuria and strong family history of Diabetes were stated. The study conducted among the mothers, attending the antenatal clinic of Singur Rural Hospital, showed that 39.68% mothers had at least one risk factor, of which 11.69% had Gestational Diabetes. Presence of risk factors increased with age from 15.7% in the age group 15 – 19 years to 32.1% in the age group of >30 years. The mean birth weight of neonate was 2.02kgs and neonatal death was more common amongst GDM group leading to increased caesarean section rate, admission to Neonatal ICU among women who had gestational diabetes mellitus during pregnancy.
Emphasizing that there is a shortage of trained physicians to tackle the burden of diabetes management in the state, especially in Gestational Diabetes, Dr. Debasis Basu, Eminent Diabetologist in Kolkata and senior Regional faculty for the Course in Gestational Diabetes Mellitus said, “The prevalence percentage of gestational diabetes mellitus (GDM) is increasing rapidly in India, hence there is an urgent need to build capacity in the area of gestational diabetes management, as the disease has a major impact on total maternal as well as fetal morbidity. The need of the day is to have a trained set of doctors who are equipped with the latest advancements, and also follow the latest international and national guidelines. The CCGDM course is a well-designed compendium that will help tackle the challenges of GDM detection and management and will familiarize doctors with national and international advancements.”
In his address Dr Sandeep Bhalla, Programme Director CCGDM Course PHFI said, “At PHFI it is our endeavor to help strengthen education, training, and research in the area of Public Health. Gestational diabetes mellitus (GDM) is a severe and neglected threat to maternal and child health, a situation that is likely to worsen, particularly in low and middle income countries like India as diabetes prevalence increases. The medical fraternity requires gearing up to this challenge for effectively preventing, diagnosing and treating gestational diabetes. The Certificate Course in Gestational Diabetes Mellitus (CCGDM) developed by PHFI, is an attempt to tackle the rising prevalence of GDM in India, aiming to strengthen the capacity of doctors to tackle the widespread challenges in GDM screening and management, ultimately improving the health outcomes of women and their new-borns. This course which is now globally recognized by IDF (International Diabetes Federation) and accredited by SAFES (South Asian Federation of Endocrine Societies) has already trained over 2400 medical practioners and we look forward to the same enthusiasm during the third cycle too”
Dr. Suranjan Chakrabarti Eminent Obstetrician in Kolkata and co-regional faculty for the Course in Gestational Diabetes Mellitus added that “At present, there are no national validated guidelines for gestational diabetes care in India. This uniquely designed course by PHFI serves as a model curriculum which is both effective and feasible in preventing, diagnosing and treating gestational diabetes, aiming to strengthen the capacity of doctors to tackle the widespread challenges in GDM screening and management.
The Certificate Course in Gestational Diabetes Mellitus (CCGDM) which has now completed ins second cycle, is a joint certification program designed and delivered by Public Health Foundation of India (PHFI) and Dr. Mohan’s Diabetes Education Academy (DMDEA), Chennai. The program is supported by an educational grant from Johnson & Johnson (J&J) Medical India. The course will help regional doctors in Kolkata and nearby areas to establish their networks with existing specialized diabetes care centers, eminent obstetricians and gynecologists for improving patient outcomes in Gestational Diabetes Mellitus. Total duration of the course is four months with once in a month contact session, which will be conducted at 40 Regional Centers, across India covering 15 states, 1 union territory and 33 cities. CCGDM Cycle-II comprise of 15 National Expert, 80 Regional Faculty and 25 Observers. The course is offered on a modular basis with judicious mix of case-studies, group discussion and direct teaching with great flexibility to accommodate participant’s requirements. Complete and comprehensive learning package including print and CD modules are provided by the organizing institutions. Participant assessment is through an ongoing internal evaluation, during course work and performance.
29 Physicians, Obstetricians and Gynecologists in Kolkata conferred certificates in ‘Gestational Diabetes Mellitus’
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